Peds hiv/immune questions
Which instruction would be of highest priority for the mother of an infant receiving his first oral rotavirus vaccine?
"Call the physician if he develops a bloody stool or diarrhea." There is a very small incidence of infants developing intussusception, signaled by the onset of bloody stool or diarrhea after receiving oral rotavirus vaccine
The mother of a child diagnosed with erythema infectiosum (fifth disease). is crying, and says, "I am afraid. Will my unborn baby die? I have a planned cesarean section next week." Which statement would be the most therapeutic response?
4. "I understand you are afraid. Can we can talk about your concerns?"
. Who is at the highest priority to receive the flu vaccine?
A healthy 8-month-old who attends day care. Children between the ages of 6 and 23 months are at the highest risk for having complications as a result of the flu. Their immune systems are not as developed, so they are at a higher risk for influenza-related hospitalizations.
Which would be the priority intervention for a child diagnosed with chickenpox (varicella) who was prescribed diphenhydramine (Benadryl) for itching?
Caladryl lotion contains diphenhydramine (Benadryl), and the child would be at risk for toxicity if the Caladryl is applied to open lesions.
. Which would be the most therapeutic response for the mother of a 6-month-old who tells the nurse she does not want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the vaccine?
"Would you mind if we discussed your concerns?"
The parents of a 12-month-old with HIV are concerned about his receiving routine immunizations. What will the nurse tell them about immunizations?
"Your child will not receive routine immunizations today.
What would be the nurse's best response if the foster mother of a 15-month-old with an unknown immunization history comes to the clinic requesting immunizations?
"Your foster child will receive only the Hib and DTaP vaccines today." Vaccines routinely due at 15 months include Hib and DTaP. To catch up missed immunizations the nurse would need the child's immunization record to verify what he has received.
Which signs and symptoms would the nurse expect to assess in a child with rheumatic fever?
. Joint pain or arthritis is the most common symptom of acute rheumatic fever (60% to 80% of first attacks). The joint pain usually occurs in two or more large joints (ankle, knee, wrist, or elbow).
The nurse is instructing the parent of a child with HIV about immunizations. Which of the following should the nurse tell the parent?
. Pneumococcal and influenza vaccines are recommended. . Immunizations against childhood illnesses are recommended for children exposed to or infected with human immunodeficiency virus. Pneumococcal and influenza vaccines are recommended.
Which of the following laboratory tests will be ordered to determine the presence of the human immunodeficiency virus antigen in an infant whose parent is HIV+?
. p24 antigen assay. . Detection of human immunodeficiency virus in infants is confirmed by a p24 antigen assay, viral culture of human immunodeficiency virus, or polymerase chain reaction.
. Which of the following can lead to a possible diagnosis of human immunodeficiency virus (HIV) in a child? Select all that apply.
1. Repeated respiratory infections. 2 intermittent diarrhea 5 poor weight gain
Which nursing intervention should take place prior to all vaccination administrations?
2. Provide the vaccine information statement handout, and answer all questions
Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
2. Varicella (chickenpox) is highly contagious. Contact and droplet respiratory precautions should be started immediately because the primary source of transmission is secretions of the respiratory tract (droplet) and also by contaminated objects
An 18 month old is discharged from the hospital after having a febrile seizure secondary to roseola. On discharge, the mother asks the nurse if her 6 year old twins will get sick. Which teaching about the transmission of roseola would be must accurate?
2. the child doesnt need to be isolated from the older siblings
Which of the following is the most common opportunistic infection in children infected with human immunodeficiency virus (HIV)?
4. Pneumocystic pneumonia. . Pneumocystis carinii pneumonia is the most common opportunistic infection that can occur in human immunodeficiency virus-infected children, and such children are treated prophylactically for this.
The parent of a 2-year-old who is HIV+ questions the nurse about placing the child in day care. Which of the following is the best response?
The child can be admitted to day care without restrictions and should be allowed to participate in all activities. The child can attend day care without any limitations but should not attend with a fever.
